Permit CITY TI BUILDING PERMIT
PERMIT #: BUP2006 -00231
`
DEVELOPMENT Tigard, - 639 - 4171 DATE ISSUED: 5/25/2006
PARCEL: 1 S 136AD -04300
SITE ADDRESS: 11477 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: VILLA RIDGE LOT: 002 JURISDICTION: TIG
Project Description: Re - roof.
REISSUE: �(( FLOOR AREAS EXTERIOR WALL CONSTRUCTION
LIT' U
CLASS OF WORK: A FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: ti / 3`n!1 oD.n (,
Owner: Contractor:
BANNING, MARK A + PATRICIA E TRS INTERSTATE ROOFING
3895 TAMARACK LN 15065 SW 74TH AVE
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
Phone: Contact #: PRI 503 684 - 5611
FAX 503 - 639 -3056
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/25/2006 $168.10
[BUILD] Addl Permit 5/25/2006 $109.27
[TAX] 8% State Surcha 5/25/2006 $13.45
Total $290.82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: _� /� , / Permittee Signature: '
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Re -Roof - i r-
- #,' Building Permit A p kio , ' ,, 7 1 ', , , ; " • 4 1 ) ol, l,lc c u .l� , 0 ! �� " i fi x '
1 M. r3
City of Tigard Received P
5 06 Date/B . U, . .
13125 SW Hall Blvd., Tigard, OR 97223 IN 2p Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 to b�B Date/By: Other Permit:
I i� ^.
Inspection Line: 503.639.4175 i i 1�' c'I+I Date Ready/By: Jr� ' � El See Page 2 for
Internet: www.ci.tigard.or.us CITY U o: Notified/Method: / V Supplemental Information
. b'E OF WORK - REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF 'CONSTRUCTION work indicated on this application.
❑ 1 -and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder •Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //11 7 7 5 i,.5 p2 cif, //toy' New dwelling area: square feet
City /State /ZIP: --r/ 604/Z jiZ 972 2_3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA :COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
,DESCRIPTION OF WORK work indicated on this application.
"•2.iifz, Li U L-�� 12- O?�,=1 .4 � / .S 4 Valuation: $ /I 0 p G
T ®&, C ( L L Existing building area: square feet/kb G Il
New building area: square feet
' PROPERTY OWNER ' ❑ TENANT Number of stories: 7—k; G
Name: /4/1<a- A? AN AIIx 6_ Type of construction:
Address: / / 1 7 5 W !} A C1, is /64 4 Occupancy groups:
City /State /ZIP: 7 - / DR. 97 223 Existing:
Phone: ( ) Fax: ( ) New:
A APPLICANT ❑ CONTACT PERSON NOTICE
Business name: p 7�sTA7 1 . 4 , - ' f G All contractors and subcontractors are required to be
Contact name: ' PIA licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: JcpG., S s c,.1 7 6 ,4, ve - jurisdiction in which work is being performed. If the
City /State /ZIP: / c)g7 L�,v,o U�. 9 7 2 2 y applicant is exempt from licensing, the following reasons
apply:
Phone: (fa)) I, 5 _.54f( '
' • Fax: :(3 3cs
E -mail:
•
• - . CONTRACTOR - .
Business name: mi e'�rA7e /et—QV BUILDING. PERMIT FEES* -
Address: / 5'C (5 5,m 7 g77-1 ✓
Please refer to fee schedule.
City /State /ZIP: �, J'
02 A� j 0 7 Z Fees due upon application
Phone: (✓`G ) Fax: ( ) / 0
Amount received
C CB Iic.: . 5 . 54/e5
Date received: { -- 7 5 � 6
Authorized signature: y This permit application expires ✓ if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4 d l s 0 ,2,v 47 Ats Date: 5 ^2.S -6 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\ROOF- PermitApp.doc 12/03 440- 46I3T(II /02/COM/WEB)
•
1
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One - & Two- Family Dwelling)
El REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re -roof if not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi family and condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the inspection line at (503) 639 -4175.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre - inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
I: \Building\Permits\ROOF- PermitApp.doc 2
�'IT -�f OF TIGARD � � z
BU��.��NCi �IV�S�ON PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /�
Phone: (503) 639 -4171 �p�Npuypi��I)�� �� � "
Inspection Requests (24 Hrs.): (503) 639 -4175 � i�'' �.. � ,i
l �Z�'
INSPECTION WORKSHEET FOR DATE: TIME: �/ O PAGE: I"
SITE ADDRESS: � CLASS OF WORK:
SUBDIVISION: � � � � � � LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ` PHONE #:
CONTRACTOR: -�, D���� ��.e'(/he�!`j� PHONE #:
Inspection Request Scheduled For: Date: � � g - � �o Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Com�m�e /Instructions: / /w�r� � � 3 °( g �-" �(� � ` �r��
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PASS PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
,� � FAIL ❑CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
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Inspector: � Date:�f � ��� � Phone #: (503) 718- ���7
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